The URL can be used to link to this page

Home My WebLink AboutPermit Septic Tank 1990-12-18---4-fz REQUEST FOR:SEPT]C I}ISPECTION FOR LOAN REV]EW SEPTIC INSPECTION FOR LOAN REV]EW DtRECIIOITS tO A|TE aior COUiIHOUSI rln ht. 726-8234 PH rne field, 0R 974773223 Pheasant Blvd., site addrA1 lbr i tton left onto Plreasant;Coburo Rd; riqht onto Harlow e on 11 (qit.o addr).Tnen A'l 1l^rrittnn I have carefully read BOTH sldes of thls app! ,Tnan A1 'l hri tt ^n 2-7-o andlcatlon h that all lnformatlon ls true and correct READ CAREFULLYI Your Authorlzatlon lc Based On The Followln Condltlons /L^rP-7aDATEFEES DUE: $APPROVED BY: CALL FOB INSPECTIONS (SEE BACK OF FORM FOR SEPTTC permlts are good for one year. ALL other permlte expire atter 18o days unless lnspectlons are current. ucTloNs) 687-4065 406,?-oo PERMIT # SFD YIOLATIONS SBTBACKSAI{DOTIIBRCONDMONSOFAPPTTOVALMUSTBASTRICTLYOBSERVED. VIOIJ\TIONCAI{RASULTINNBVOCATIONOFTHISPERMIT. CITATIONS MAY B8 ISSTJBD I'NDBR TTIB PROVIIIIONS OP TJWB CIUITY'S INFRACTION ORDINANCts AT{DPR, OTIIER RBMEDIBS AII.OWED BY T.AW. A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GryEN FOR INSPECTION REQIJESTS Ilave the following information ready when you call: 6874065 Perrnit number - Job address - Type of inspection required - When it will be rcady Yow name and phone number - Any special dtections to the site powERroENrERr.rFoNLAND. "*""m,!f.t51fi'#3ffi:T#fi8'rlt'"H&1'ffi'r#i3ffiRnf;fl?**r *oFrHErRFrrNcrroNs,MAy BNTBR IjPON ANY LAND AI.ID MAXB EXAMINATIONS AND SURVBYS AND PI.ACE AND MAINTAIN TIIE NBGSSAR,Y MONT'ME{TS TNO TTTNTCNS TTCNSON. REQURED TNSPECTIONS FOTINDATION INSPECTION: To be made after excavations for footings are complete and ury required reinforcing steel is in place. UNDERGROUND PIPING INSPECTION: To be made after all underground piping has been installed, pnor to any baclCill. CONCRETE SLAB OR LINDER-FLOOR INSPECTION: To be made after all in-slab or under-floor building service equipmeng conduit" piping accessories and other ancillary equipment items are in place but before any concrete is placed or floor sheathing installed, including the subfloor. ROUGH MECHANICAL INSPECTION: To be made after all ducting and gas piping has been installed and prior to being covered. ROUGH PLUMBING INSPECTION: To be made after all plumbing rough-in is in place, prior to being covered. FRAMING INSPECTION: To be made after the all framing, fire blocking, bracing and roof are in place and all pipes, chimneys and vents are complete and the rough electical, plumbing, and mechanical inspections have been made and approved. INSULATION INSPECTION: To be made after all insulation and vapo:r barriers are in place, prior o covering. LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place but beforc any plastering is applied or before gypsum board joints md fasteners are taped and finished. ADDITIONAL INSPECTIONS MAY BE REQURED, such as but not limited to; BLOCK WALL: To be made after reinforcing is in place, but before my grout is porned. The irupection is required for each bond beam pour. There will be no approval until the plumbing and electrical inspections have been made and approved. FINAL MECHANICAL INSPECTION: To be made just prior to the stnrctrre or remodeled area being occupied and pior o operaring any equipnecrr FINAL PLIJMBING INSPECTION: To be made just prior to the building, strucurrc or remodeled area being occupied. FINAL BLJILDING INSPECTION: To be made after finish grading and the building, stnrctrre q recrodeled area is completed urd ready for occupanry MOBILEA{ANUFACTURED HOMES: An inspection is required after the mobile home is connected to ur apprroved sewer or septic system, prior to covering sewetr or water lines, for setback requirernents, blocking, tiedowrs and plumbing connections. Footings and piers to comply with State formdation requirements for mobile homes or as recommended by the mrrufacturer. Minimum fhished floor elevation shall be certified when required by Floodplain Management Tiedowns, if required, shall be installed and ready for inspection withh 30 days after occupancy. Tiedowns shall be installed per enclosure. APPROVAL REQTIIRED No work shall be done on any part of the building or structure beyond the point indicated in each successive inspection without ftst obtaining the approval of the building official. Such approval shall be given only after an inspection shall have been made of each successive step in the construction as indicated by each of the irspections required. rHIs ,ERMIT *ILL ,,*IRE " *#5%H'*:?H#YilflffiT,|,l'^'9i 3ff"$"1.?trtri#XTflr"ffifiJt"ffi r,aonn nm* ,80 DAys. SUSPENSION OR REVOCAfiON MAY OCCUR,IF TI{IS PERMIT WAS ISSIIED ON THE BASIS OF INCOMPLETE OR ERRONEOUS INFORMATION. AI\IYONE PROCEEDING PAST TTIE POINT OF REQI.IIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK. Your signature on the front of this form verifies the followhg: I HAVE CAREFULLY EXAMINED THIS CoMPLETED AppLICATIoN and do hereby certify that all information hereon is true and correct, and that I have a legal interest in tlre property as owner of record or authorized agent. I further certify tha! a{tY and all work performed shall be done in accordance with the Ordinances of L"n" County and the laws of gre State of degon per- taining to the work described herein. I further certify that if I am not the owner of the property, my registration wittr the Builders Board is in fulffor; and.effect as required by ORS 701.055, and ttlar if exempt the basis for the exemption is noted hereon, and that only subcontractors and employees who are in compliance with ORS 701.005 will be used on the job. SUBSURFACE & ALTERNATIVE SEWAGE DISPOSAL SYSTEMS: When subsurface construction is complete, the permit hold". rhuU notify the County Land Management Division by submitting the installation record _form. 41 inspection will be made by a qualified sanitarian. If construction complies with all rulis a certificate of complerion ii11 b" issued to the permitholder. If construction does not comply with rules, the permit holder will be notified, and all corrections shall be made before a certificate of compietionwill be issued' Failure to meet satisfactory completion within the alloned time constitutes a violation of ORS 454.605 to 454.745 and this rule. SUBSURFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK DRAINFIELDFrom: Interior property lines l0' 10' Edge ofroadright-of-way l0' l0' Building foundation 5' l0' Wells or other water sources 50' 100, /7 o='zz b foe-lr:\ d *+ q' ,,/^q | *et"'f It IIt I Qr \ h \ t e-P c.X' $ow*azi t--" f *r*:n,il Please complete all lines inside white boxes, if possible. not sm. s tbova) CONIRACTOR ICITY ztP ctJ ztP 'Iie-n-T- owr{ERs ADDRESS (il not r!m. !3 rboy.) 9t *t 7 ?z + LL 2 o--bove- 'f*efrs MAP, PARCEL NUMBER (Found on ttr maD3 ln lha Aas.ment I Turtlon lr.otl/-7 03 zz , /.8 8Oo Iown3firp Rangc S.ction 1/l Scction Ttr Lot ro*n'h-p-. ft-i!- ffi urs.-iii6i ....ffi-- Tdffiffi- :fn!- Fo'6;'- r7fGii6i- -fFEi- Sf (t xJa rt euD (QK Exlstlng Bulldlngs or lmprovements on Property E Housel-l Barn E Garage El lvlobile. HomeEl Shed SEPTIC INSTALLED EE yes l-r I{o Water District f,a-t*l"u,t r.,,1*tP L Directlons to site @ fAessnnr C w< L o7l L o.t l1*rle,a) t a zZJ.3 Aiuo h*Ao d>1- {t+en*n btd Sf<,r.b-trtat) AKSITE ADDFESS Sp-z <?2477 ztP bi, ?lLtz CITY ean cx 7-.SCI.S?ENWMAIL TO Eft32 Year Moblle Home ent Only of 1ip-outs No. of Bedrms Land Management Div. staff can not be held responsible for svaluatlons or recommendations based on false, lnaccurate or lncomplete lnformatlon I I I Ttr6E_ License #